SOUTHERN RENAL GROUP INC. NPI 1376593319

NPI Information

NPI: 1376593319
Provider Name: SOUTHERN RENAL GROUP, INC.

Doing Business As: LINDBERGH DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2695 BUFORD HWY NE
SUITE 108
ATLANTA, GA
ZIP 30324
Phone: (404) 315-0605
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SOUTHERN RENAL GROUP, INC. is an end-stage renal disease (esrd) treatment clinic center in Atlanta, GA. SOUTHERN RENAL GROUP, INC. NPI is 1376593319. The provider is registered as an organization entity type.
The provider Is Doing Business As Lindbergh Dialysis Center.

The provider's business location address is:

2695 BUFORD HWY NE
SUITE 108
ATLANTA, GA
ZIP 30324-278
Phone: (404) 315-0605
Fax: (404) 315-0607

The provider's authorized official is Benedict Ehirim .
The authorized official title is President and has the following contact phone number (404) 315-0605.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	001254	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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